Summary of medical work
Summary of medical work
In the past year, under the direct leadership of the leaders of the hospital, the department has earnestly studied the important spirit of the "Three Represents" and the 16th National Congress of the Communist Party of China. With the concept of "Quality First, Patient First", we must pay close attention to the standardization of the medical system and in-depth study and Implement the "Practitioners' Law of the People's Republic of China", "Regulations on the Administration of Medical Institutions", "Regulations on the Administration of Medical Institutions", "Administrative Measures for Medical Institutions in Shandong Province", etc., in accordance with the actual situation of our hospital, adopt practical and effective measures to increase The quality of medical quality management focuses on the cultivation of medical staff and professional ethics education, further emancipating the mind, updating concepts, improving service efficiency, and effectively promoting medical, teaching and scientific research, and contributing to the reform and development of the hospital .
First, the quality of medical care
Medical quality is the fundamental problem of hospital survival and development. Paying close attention to medical quality management and comprehensively improving the quality of medical services is the primary task of the medical department. Strictly follow the "Basic Standards for the Recording of Medical Records in Shandong Province", put forward further standardization requirements for the writing of medical records, disease records and related materials, and make a manual, carefully organize the study, and combine it into the monthly quality appraisal. The secretarial writing secretary network will report the various medical quality inspections this year as follows:
Clinical examination
1. Quality of medical records: The number of inpatients in XX was 39,827, an increase of 28.6% over the same period of XX.
From January to November of XX, the results of the general evaluations of the clinical departments were relatively close. The top three were excellent: the first one in the spirit, the second in the spirit, and the western pharmacy. The three departments won the first place in 10 months in 11 months.
Filing medical records: From January to November in 1XX, a total of 484 archived medical records were randomly selected. No secondary medical records were found. The rate of Grade A was 100%. This year, Quanzhou Health Bureau conducted a random selection of archived medical records for secondary hospitals , and the hospital won the first place. 2 Each department can submit the medical records of the previous month before the 5th.
Current medical records: 1 Strictly follow the "Basic Standards for Medical Record Writing in Fujian Province" to further standardize the current medical record and disease record writing standards. The average monthly medical record/disease record of 15 cases was not completed according to regulations, and improved compared with the same period last year. However, the completion rate has gradually increased with the increase of the month; 2 all have completed the hospitalization procedures in time; 3 the medical records of the outpatient clinics have been basically completed.
Prescription quality: 5 days of random sampling every month, the average pass rate from January to November is 96.2%.
2, hospital infection control: 1, infection rate: for each medical record is monitored, from XX November to XX October, a total of 260 cases were monitored, 5 cases of infected patients, the infection rate was 2. 1% The infection rate was 2.9%. 2 Underreporting rate: Cases monitored from November XX to October XX, 1 case missing, and the rate of underreporting was 2%; 3 monthly environmental, air, clothing, medical staff, disinfection Liquid, sterile items, etc. for routine monitoring; 4 in the construction of infectious diseases, guide the department of the department and disinfection and isolation work; 5 in accordance with the provisions of the Ministry of Health further standardized the operation of endoscopy, stomatology.
3. Document files: Basically, they can be completed on time and according to requirements. There are mainly problems: the records of “Rescue of critically ill patients” and “Discussion of critical cases” are not careful enough, and there are discrepancies with the record of the shift. Failure to seriously implement the critical illness reporting system.
4, "three basics" skills / theoretical assessment: the "three basics" theoretical examinations twice, the pass rate of 98%.
5. Bed use rate: From January 1st to November 30th of XX, the actual number of beds occupied by the whole hospital was 117,954 days. The first two were named: Spirit 1 and Spirit 2. These two departments accounted for 98% of the actual number of beds occupied by the whole hospital.
The average bed utilization rate of the hospital was 86.4%, which was much higher than that of the previous year. The utilization rate of obstetrics and gynaecology beds decreased from the previous year.
6. Preventing medical errors and accidents: Strengthening the training of medical professionals' professional ethics and business technical skills, especially the “Medical Accident Treatment Regulations”, “Medical Accident Classification Standards”, “Major Medical Negligence Behaviors and Medical Accidents” issued by the health department. The study of the provisions of the reporting system, and a manual, to prevent the occurrence of major medical negligence and medical accidents, continuously improve the quality of medical services and scientifically classify medical accidents, correctly handle medical disputes, protect patients and medical institutions. And the legal rights of their medical staff.
There were 0 medical disputes in the year, which was the least in the calendar year. No major medical incidents occurred.
Medical technology quality
Strengthen the technical training and service quality improvement of medical technicians, pay attention to the monitoring rate and accuracy of monitoring results, and continuously add new projects to meet clinical needs.
From January to December this year, the number of patients receiving the cardio-electroencephalogram room was more than 1,500, an increase of 11% compared with the same period last year.
, outpatient medical quality
Psychiatry
Increase the construction of outpatient departments, further improve the outpatient functions of various departments, integrate psychiatric outpatient clinics, epilepsy clinics and neurological outpatient clinics into psychiatric comprehensive outpatient clinics. The layout of each district is reasonable, prepare for emergency psychiatric emergency, and rebuild the outpatient hall. The consultation desk has greatly improved the medical environment.
From January to December this year, the number of outpatients was 254,197, an increase of 12% from the same period of XX;
Second, continuing education
1. Incorporate continuing education into the work plan of our hospital. The dean personally serves as the leader of the continuing education leadership team, focusing on the training and mission of personnel in and out of the hospital. This year, a total of 5 people from our hospital went out to study at the tertiary hospitals in the province and abroad, and sent nearly 10 short-term classes. The doctors who have completed the study and returned to the hospital can apply the new knowledge and new technology quickly. In the clinical, active work has played a major role in improving the medical technology standards of our hospital.
2. Nearly 20 people in our school participated in various adult entrance exams and self-study exams this year.
3. Actively writing papers and publishing 17 papers throughout the year. Summary of the annual work of the hospital Health Department Medical Prevention Department 2019 first half of the work summary hospital "four five" law popularization work summary Provincial hospital fire work summary hospital affairs public work summary 2019 year-end work summary 2019 infection department work summary and time Summary of the annual plan for drug supervision and inspection
View more>> Hospital work summary
4, carry out various forms of health education, each clinical department more than 4 times a year to promote the wall, to the community to carry out more than 6 prevention and treatment activities, and repeatedly issued health education prescriptions inside and outside the hospital.
Third, teaching work
This year, we received 6 students, 12 interns, and 4 interns.
The Medical Services Division held a meeting of all training and internships in August and November respectively, and further disciplinary education and punishment for students who violated regulations.
V. Management of infectious diseases
1. Conscientiously implement the “Notice on the Direct Reporting of the General Office of the Ministry of Health on the Implementation of Infectious Diseases and Public Health Emergencies”. In the month of January, it began to report the epidemic of infectious diseases and implemented unexplained pneumonia, measles and afp. The monitoring of single diseases such as neonatal tetanus greatly improved the timeliness and accuracy of the epidemic report. From January 1st to November 30th, XX, a total of two cases of cough patients were reported, and no Class A infectious diseases were found. And cases of unexplained pneumonia. Strict implementation of the "two-way referral" system for tuberculosis, a total of 2 cases were transferred.
2. Set up the Department of Infectious Diseases, and the layout of clean areas, semi-polluted areas and contaminated areas is relatively reasonable. From June to September, the intestine clinic and the intestinal isolation ward were opened, and 86 specimens of fecal specimens were sent for examination, and patients suspected of cholera were not admitted.
Sixth, health care clinic activities
1. Organize experienced medical personnel to go to the poor and remote villages for the local people and the disabled for a total of 15 times, and cooperate with the Municipal Health Bureau and the Municipal Cancer Association to go to Qinglian Village and Huxi Village for medical treatment and medical treatment. Activities, a total of more than 350 patients for the elderly, weak and sick, and more than 1,000 yuan, and distributed health prescriptions, praised by the public.
2. Sending a health care doctor to do a total of 23 health care work for various large-scale conference games of the municipal government departments.
3. Do a good job in the registration and registration of neonatal programs, and cooperate with the disease monitoring agencies to improve the program immunization of full-age children in the city. From January to November, 368 cases of child program immunization were handled.
4. Carry out various forms of health education work: 48 publicity columns were issued in various wards and outpatient clinics.
Seven, physical examination work
This year, there are more than 1800 physical examinations for the students in the senior high school entrance examinations, and more than 500 medical examinations for the enrollment examinations. There are more than 3,000 person-time health checkups for various government agencies, enterprise groups and retired cadres, and they are valued and supported by the leaders of the hospital. In the month, the Department of Physical Examination was formally established, equipped with special physical examination sites and equipment for medical examinations such as b-ultrasound and electrocardiographs, and related personnel were added. A new health check-up package was introduced to simplify the physical examination program and provide quality, preferential and efficient services for medical examiners. Convenient
The needs of the people’s health checkups have been well received by the people and achieved a double harvest of social and economic benefits.
Inadequacies:
2. The doctors took turns to go to the grassroots health room to work in the grassroots health room.
3. The research foundation is weak and the scientific research results are insufficient. Summary of the annual work of the hospital Health Department Medical Prevention Department 2019 first half of the work summary hospital "four five" law popularization work summary Provincial hospital fire work summary hospital affairs public work summary 2019 year-end work summary 2019 infection department work summary and time Summary of the annual plan for drug supervision and inspection
View more>> Hospital work summary
In the past year, under the direct leadership of the leaders of the hospital, the department has earnestly studied the important spirit of the "Three Represents" and the 16th National Congress of the Communist Party of China. With the concept of "Quality First, Patient First", we must pay close attention to the standardization of the medical system and in-depth study and Implement the "Practitioners' Law of the People's Republic of China", "Regulations on the Administration of Medical Institutions", "Regulations on the Administration of Medical Institutions", "Administrative Measures for Medical Institutions in Shandong Province", etc., in accordance with the actual situation of our hospital, adopt practical and effective measures to increase The quality of medical quality management focuses on the cultivation of medical staff and professional ethics education, further emancipating the mind, updating concepts, improving service efficiency, and effectively promoting medical, teaching and scientific research, and contributing to the reform and development of the hospital .
First, the quality of medical care
Medical quality is the fundamental problem of hospital survival and development. Paying close attention to medical quality management and comprehensively improving the quality of medical services is the primary task of the medical department. Strictly follow the "Basic Standards for the Recording of Medical Records in Shandong Province", put forward further standardization requirements for the writing of medical records, disease records and related materials, and make a manual, carefully organize the study, and combine it into the monthly quality appraisal. The secretarial writing secretary network will report the various medical quality inspections this year as follows:
Clinical examination
1. Quality of medical records: The number of inpatients in XX was 39,827, an increase of 28.6% over the same period of XX.
From January to November of XX, the results of the general evaluations of the clinical departments were relatively close. The top three were excellent: the first one in the spirit, the second in the spirit, and the western pharmacy. The three departments won the first place in 10 months in 11 months.
Filing medical records: From January to November in 1XX, a total of 484 archived medical records were randomly selected. No secondary medical records were found. The rate of Grade A was 100%. This year, Quanzhou Health Bureau conducted a random selection of archived medical records for secondary hospitals , and the hospital won the first place. 2 Each department can submit the medical records of the previous month before the 5th.
Current medical records: 1 Strictly follow the "Basic Standards for Medical Record Writing in Fujian Province" to further standardize the current medical record and disease record writing standards. The average monthly medical record/disease record of 15 cases was not completed according to regulations, and improved compared with the same period last year. However, the completion rate has gradually increased with the increase of the month; 2 all have completed the hospitalization procedures in time; 3 the medical records of the outpatient clinics have been basically completed.
Prescription quality: 5 days of random sampling every month, the average pass rate from January to November is 96.2%.
2, hospital infection control: 1, infection rate: for each medical record is monitored, from XX November to XX October, a total of 260 cases were monitored, 5 cases of infected patients, the infection rate was 2. 1% The infection rate was 2.9%. 2 Underreporting rate: Cases monitored from November XX to October XX, 1 case missing, and the rate of underreporting was 2%; 3 monthly environmental, air, clothing, medical staff, disinfection Liquid, sterile items, etc. for routine monitoring; 4 in the construction of infectious diseases, guide the department of the department and disinfection and isolation work; 5 in accordance with the provisions of the Ministry of Health further standardized the operation of endoscopy, stomatology.
3. Document files: Basically, they can be completed on time and according to requirements. There are mainly problems: the records of “Rescue of critically ill patients” and “Discussion of critical cases” are not careful enough, and there are discrepancies with the record of the shift. Failure to seriously implement the critical illness reporting system.
4, "three basics" skills / theoretical assessment: the "three basics" theoretical examinations twice, the pass rate of 98%.
5. Bed use rate: From January 1st to November 30th of XX, the actual number of beds occupied by the whole hospital was 117,954 days. The first two were named: Spirit 1 and Spirit 2. These two departments accounted for 98% of the actual number of beds occupied by the whole hospital.
The average bed utilization rate of the hospital was 86.4%, which was much higher than that of the previous year. The utilization rate of obstetrics and gynaecology beds decreased from the previous year.
6. Preventing medical errors and accidents: Strengthening the training of medical professionals' professional ethics and business technical skills, especially the “Medical Accident Treatment Regulations”, “Medical Accident Classification Standards”, “Major Medical Negligence Behaviors and Medical Accidents” issued by the health department. The study of the provisions of the reporting system, and a manual, to prevent the occurrence of major medical negligence and medical accidents, continuously improve the quality of medical services and scientifically classify medical accidents, correctly handle medical disputes, protect patients and medical institutions. And the legal rights of their medical staff.
There were 0 medical disputes in the year, which was the least in the calendar year. No major medical incidents occurred.
Medical technology quality
Strengthen the technical training and service quality improvement of medical technicians, pay attention to the monitoring rate and accuracy of monitoring results, and continuously add new projects to meet clinical needs.
From January to December this year, the number of patients receiving the cardio-electroencephalogram room was more than 1,500, an increase of 11% compared with the same period last year.
, outpatient medical quality
Psychiatry
Increase the construction of outpatient departments, further improve the outpatient functions of various departments, integrate psychiatric outpatient clinics, epilepsy clinics and neurological outpatient clinics into psychiatric comprehensive outpatient clinics. The layout of each district is reasonable, prepare for emergency psychiatric emergency, and rebuild the outpatient hall. The consultation desk has greatly improved the medical environment.
From January to December this year, the number of outpatients was 254,197, an increase of 12% from the same period of XX;
Second, continuing education
1. Incorporate continuing education into the work plan of our hospital. The dean personally serves as the leader of the continuing education leadership team, focusing on the training and mission of personnel in and out of the hospital. This year, a total of 5 people from our hospital went out to study at the tertiary hospitals in the province and abroad, and sent nearly 10 short-term classes. The doctors who have completed the study and returned to the hospital can apply the new knowledge and new technology quickly. In the clinical, active work has played a major role in improving the medical technology standards of our hospital.
2. Nearly 20 people in our school participated in various adult entrance exams and self-study exams this year.
3. Actively writing papers and publishing 17 papers throughout the year. Summary of the annual work of the hospital Health Department Medical Prevention Department 2019 first half of the work summary hospital "four five" law popularization work summary Provincial hospital fire work summary hospital affairs public work summary 2019 year-end work summary 2019 infection department work summary and time Summary of the annual plan for drug supervision and inspection
View more>> Hospital work summary
4, carry out various forms of health education, each clinical department more than 4 times a year to promote the wall, to the community to carry out more than 6 prevention and treatment activities, and repeatedly issued health education prescriptions inside and outside the hospital.
Third, teaching work
This year, we received 6 students, 12 interns, and 4 interns.
The Medical Services Division held a meeting of all training and internships in August and November respectively, and further disciplinary education and punishment for students who violated regulations.
V. Management of infectious diseases
1. Conscientiously implement the “Notice on the Direct Reporting of the General Office of the Ministry of Health on the Implementation of Infectious Diseases and Public Health Emergencies”. In the month of January, it began to report the epidemic of infectious diseases and implemented unexplained pneumonia, measles and afp. The monitoring of single diseases such as neonatal tetanus greatly improved the timeliness and accuracy of the epidemic report. From January 1st to November 30th, XX, a total of two cases of cough patients were reported, and no Class A infectious diseases were found. And cases of unexplained pneumonia. Strict implementation of the "two-way referral" system for tuberculosis, a total of 2 cases were transferred.
2. Set up the Department of Infectious Diseases, and the layout of clean areas, semi-polluted areas and contaminated areas is relatively reasonable. From June to September, the intestine clinic and the intestinal isolation ward were opened, and 86 specimens of fecal specimens were sent for examination, and patients suspected of cholera were not admitted.
Sixth, health care clinic activities
1. Organize experienced medical personnel to go to the poor and remote villages for the local people and the disabled for a total of 15 times, and cooperate with the Municipal Health Bureau and the Municipal Cancer Association to go to Qinglian Village and Huxi Village for medical treatment and medical treatment. Activities, a total of more than 350 patients for the elderly, weak and sick, and more than 1,000 yuan, and distributed health prescriptions, praised by the public.
2. Sending a health care doctor to do a total of 23 health care work for various large-scale conference games of the municipal government departments.
3. Do a good job in the registration and registration of neonatal programs, and cooperate with the disease monitoring agencies to improve the program immunization of full-age children in the city. From January to November, 368 cases of child program immunization were handled.
4. Carry out various forms of health education work: 48 publicity columns were issued in various wards and outpatient clinics.
Seven, physical examination work
This year, there are more than 1800 physical examinations for the students in the senior high school entrance examinations, and more than 500 medical examinations for the enrollment examinations. There are more than 3,000 person-time health checkups for various government agencies, enterprise groups and retired cadres, and they are valued and supported by the leaders of the hospital. In the month, the Department of Physical Examination was formally established, equipped with special physical examination sites and equipment for medical examinations such as b-ultrasound and electrocardiographs, and related personnel were added. A new health check-up package was introduced to simplify the physical examination program and provide quality, preferential and efficient services for medical examiners. Convenient
The needs of the people’s health checkups have been well received by the people and achieved a double harvest of social and economic benefits.
Inadequacies:
2. The doctors took turns to go to the grassroots health room to work in the grassroots health room.
3. The research foundation is weak and the scientific research results are insufficient. Summary of the annual work of the hospital Health Department Medical Prevention Department 2019 first half of the work summary hospital "four five" law popularization work summary Provincial hospital fire work summary hospital affairs public work summary 2019 year-end work summary 2019 infection department work summary and time Summary of the annual plan for drug supervision and inspection
View more>> Hospital work summary
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